Evaluation of alcohol, substance and antidepressant drug use of university students during the COVID-19 pandemic
Evaluation of alcohol, substance and antidepressant drug use of university students during the COVID-19 pandemic
Aim: This study aimed to investigate how the mental tension and environmental conditions caused by the COVID-19 pandemic affected the alcohol and substance use habits of university students and the changes in the rates of antidepressant drug use for mood disorders due to the pandemic.Material and Method: This cross-sectional survey study was conducted using an electronic survey completed by university students in Turkey between the years 2021-2022. Our study consisted of a questionnaire prepared to collect the demographic information of the participants and the Bapirt-Alcohol/Substance scale used to determine alcohol/substance addiction level. The survey, which took 5 minutes to complete, was randomly distributed to university students.Results: A total of 641 participants, approximately 66% female and 34% male, between the ages of 18 and 41 years were included in the study. The mean alcohol dependence scores before and during the COVID-19 pandemic were 0.91 and 1.35 and substance addiction scores were found to be 0.17 and 0.33. There was a significant difference in the average alcohol and substance addiction scores of the students during the pandemic compared to the pre-pandemic period (for alcohol addiction: p=0.000; for substance addiction: p=0.007). Students who perceived their income level as mostly low had significantly higher alcohol addiction scores during the pandemic period compared to pre-COVID-19 (p=0.014). Compared to the pre-pandemic period, the average alcohol and substance addiction scores were found to be significantly higher in students residing in dormitories/student houses during the pandemic period (p=0.014 for alcohol; p=0.001 for substances). Antidepressant drug use rates of the participants were found to be higher during the pandemic period compared to the pre-pandemic period.Conclusion: As a result of this study, when the addiction levels for alcohol and substance use in university students before the COVID-19 pandemic and during the pandemic were compared, addiction increased in general. The prevalence of depression increased due to changing lifestyles and disruptions as a result of the pandemic, and accordingly, serious increases were observed in the use of antidepressant drugs.
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- Szabo G, Saha B. Alcohol’s effect on host defense. Alcohol Res 2015; 37: 159-70.
- Simet SM, Sisson JH. Alcohol’s effects on lung health and immunity. Alcohol Res 2015; 37: 199-208.
- Kültegin Ö. Bağımlılığı önleme: anne-babalar öğretmenler için kılavuz. Türkiye-İstanbul: IQ Kültür Sanat Yayıncılık; 2000.
- Testino G. Are patients with alcohol use disorders at increased risk for COVID-19 infection?. Alcohol Alcohol 2020; 55: 344–46.
- Güven BB, Ertürk T, Yıldız E, Durmayüksel E, Ersoy A, Tanoğlu A. Our convalescent plasma experiences in COVID-19 patients hospitalized in the intensive care unit. J Health Sci Med 2022; 5: 600-6.
- Çelik F, Demirel G. The impact of coronavirus pandemic on smoking behaviors in university students: an online survey in Turkey. Turk J Pharm Sci 2022; 19: 416-21
- Dumas TM, Ellis W, Litt DM. What does adolescent substance use look like during the COVID-19 pandemic? examining changes in frequency, social contexts and pandemic-related predictors. J Adolesc Health 2020, 67: 354-61.
- Özbay Y, Yılmaz S, Büyüköztürk Ş, et al. Madde bağımlılığı: temiz bir yaşam için bireyin güçlendirilmesi. Addicta 2018; 5: 81−130.
- Çakıcı M, Çakıcı E, Eş A. Kuzey Kıbrıs Türk Cumhuriyeti lise öğrencilerinde psikoaktif maddeleri kullanma yaygınlığı. Alpha Psychiatry 2010; 11: 206–12
- Thatcher DL, Clark DB. Adolescents at risk for substance use disorders: role of psychological dysregulation, endophenotypes, and environmental influences. Alcohol Res Health 2008; 31: 168-76.
- Baysan Arabacı L, Taş G, Dikeç G. Çocuk ve ergenlerde madde kullanımı, suça yönelme, ruhsal bozukluklar ve hemşirelik bakımı. Bağımlı. Derg 2017; 18: 135-44.
- Griffin KW, Botvin GJ, Nichols TR. Long-term follow-up effects of a school-based drug abuse prevention program on adolescent risky driving. Prev Sci 2004; 5: 207-12.
- Lundahl LH, Cannoy C. COVID-19 and substance use in adolescents. Pediatr Clin North Am 2021; 68: 977-90.
- Lechner WV, Laurene KR, Patel S, Anderson M, Grega C, Kenne DR. Changes in alcohol use as a function of psychological distress and social support following COVID-19 related university closings. Addict Behav 2020; 110: 106527.
- Althobaiti YS, Alzahrani MA, Alsharif NA, Alrobaie NS, Alsaab HO, Uddin MN. The possible relationship between the abuse of tobacco, opioid, or alcohol with COVID-19. Health (Basel) 2020; 9: 2.
- Wu P, Liu X, Fang Y, et al. Alcohol abuse/dependence symptoms among hospital employees exposed to a SARS outbreak. Alcohol Alcohol 2008; 43: 706-12.
- Ahmed MZ, Ahmed O, Aibao Z, Hanbin S, Siyu L, Ahmad A. Epidemic of COVID-19 in China and associated psychological problems. Asian J Psychiatr 2020; 51: 102092.
- Byrnes J, Miller D, Schafer W. Gender differences in risk taking: a meta-analysis. Psychol Bull 1999; 125: 367-83.
- Kendler KS, Karkowski LM, Prescott CA. Causal relationship between stressful life events and the onset of major depression. Am J Psychiatry 1999; 156: 837-41.
- Yang L, Zhao Y, Wang Y, et al. The effects of psychological stress on depression. Curr Neuropharmacol 2020; 13: 494–504.
- Rajkumar RP. COVID-19 and mental health: a review of the existing literature. Asian J Psychiatr 2020; 52: 102066
- Rabeea SA, Merchant HA, Khan MU, Kow CS, Hasan SS. Surging trends in prescriptions and costs of antidepressants in England amid COVID-19. Daru 2021; 29: 217-21.
- America’s State of Mind Report. Date of access: August 16, 2022 Available online: https://www.express-scripts.com/corporate/americas-state-of-mind-report.